Organization
ROANOKE PLASTIC SURGERY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARTON ALAN THOMAS MD (OWNER)
(540) 581-1400
Entity
Organization
Contact information
Practice address
1118 FIRST STREET SW, ROANOKE, VA 24016-4702
(540) 581-1400
(540) 581-1401
Mailing address
1118 FIRST STREET SW, ROANOKE, VA 24016-4702
(540) 581-1400
(540) 581-1401
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0101050799
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00670189
—
VA
Enumeration date
02/16/2007
Last updated
08/22/2020
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